Non-ST Elevation Myocardial Infarction in Young Women with Diabetic Ketoacidosis Article Swipe
Novi Rahmawati
,
Indra Prasetya
,
Andhika Prastya
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.11594/jk-risk.04.3.8
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.11594/jk-risk.04.3.8
Diabetic ketoacidosis (DKA) is the primary acute metabolic complication of diabetes mellitus (DM), specifically type 2 DM. Individuals with acute coronary syndrome (ACS) have a twice-higher incidence compared to non-diabetic individuals. In people with DM, ACS is responsible for 75% of mortality. This case report investigates a 34-year-old female patient who presented at the Emergency Department of Saiful Anwar Malang Hospital with acute gastrointestinal symptoms of diarrhea and moderate to severe dehydration. Patients with a history of type 2 DM were first diagnosed at the age of 28. The laboratory tests indicated the presence of high blood sugar levels, metabolic acidosis, and ketone-positive. During DKA hydration management, patients have atypical angina with ECG changes from sinus tachycardia to episodic Total AV Block (TAVB) spontaneous termination, increased cardiac enzyme HS (high-sensitivity) Troponin I. Patients diagnosed with acute Non-elevated Segment ST Myocardial Infarction (NSTEMI) very high risk criteria. The patient performed an immediate invasive strategy and promptly identified stenosis in three coronary arteries, with the target lesion being in the Right Coronary Artery (RCA). Subsequently, a drug-eluting stent was implanted in the osteal to mid RCA. Efficient and timely management strategies that prioritize accuracy and simultaneous therapy for cases of DKA and NSTEMI to achieve optimal outcomes.
Related Topics
Concepts
Medicine
Myocardial infarction
Acute coronary syndrome
Internal medicine
Diabetic ketoacidosis
Unstable angina
Cardiology
Incidence (geometry)
Complication
Sinus tachycardia
Troponin
Diabetes mellitus
ST segment
Type 2 Diabetes Mellitus
Emergency department
Blood sugar
Sudden cardiac arrest
Sepsis
Angina
Artery
Troponin I
Tachycardia
Surgery
ST elevation
Heart block
Chest pain
Right bundle branch block
Sudden cardiac death
Electrocardiography
Coronary stent
Stenosis
Myocarditis
Metadata
- Type
- article
- Landing Page
- https://doi.org/10.11594/jk-risk.04.3.8
- OA Status
- diamond
- References
- 15
- OpenAlex ID
- https://openalex.org/W7106696966
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W7106696966Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.11594/jk-risk.04.3.8Digital Object Identifier
- Title
-
Non-ST Elevation Myocardial Infarction in Young Women with Diabetic KetoacidosisWork title
- Type
-
articleOpenAlex work type
- Publication year
-
2025Year of publication
- Publication date
-
2025-06-25Full publication date if available
- Authors
-
Novi Rahmawati, Indra Prasetya, Andhika PrastyaList of authors in order
- Landing page
-
https://doi.org/10.11594/jk-risk.04.3.8Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
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https://doi.org/10.11594/jk-risk.04.3.8Direct OA link when available
- Concepts
-
Medicine, Myocardial infarction, Acute coronary syndrome, Internal medicine, Diabetic ketoacidosis, Unstable angina, Cardiology, Incidence (geometry), Complication, Sinus tachycardia, Troponin, Diabetes mellitus, ST segment, Type 2 Diabetes Mellitus, Emergency department, Blood sugar, Sudden cardiac arrest, Sepsis, Angina, Artery, Troponin I, Tachycardia, Surgery, ST elevation, Heart block, Chest pain, Right bundle branch block, Sudden cardiac death, Electrocardiography, Coronary stent, Stenosis, MyocarditisTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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15Number of works referenced by this work
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| abstract_inverted_index.The | 88, 146 |
| abstract_inverted_index.age | 85 |
| abstract_inverted_index.and | 67, 101, 153, 185, 192, 199 |
| abstract_inverted_index.for | 38, 195 |
| abstract_inverted_index.mid | 182 |
| abstract_inverted_index.the | 4, 53, 84, 92, 162, 167, 179 |
| abstract_inverted_index.was | 176 |
| abstract_inverted_index.who | 50 |
| abstract_inverted_index.RCA. | 183 |
| abstract_inverted_index.This | 42 |
| abstract_inverted_index.case | 43 |
| abstract_inverted_index.from | 114 |
| abstract_inverted_index.have | 23, 108 |
| abstract_inverted_index.high | 95, 143 |
| abstract_inverted_index.risk | 144 |
| abstract_inverted_index.that | 189 |
| abstract_inverted_index.type | 14, 77 |
| abstract_inverted_index.very | 142 |
| abstract_inverted_index.were | 80 |
| abstract_inverted_index.with | 18, 33, 61, 73, 111, 134, 161 |
| abstract_inverted_index.(ACS) | 22 |
| abstract_inverted_index.(DKA) | 2 |
| abstract_inverted_index.(DM), | 12 |
| abstract_inverted_index.Anwar | 58 |
| abstract_inverted_index.Block | 121 |
| abstract_inverted_index.Right | 168 |
| abstract_inverted_index.Total | 119 |
| abstract_inverted_index.acute | 6, 19, 62, 135 |
| abstract_inverted_index.being | 165 |
| abstract_inverted_index.blood | 96 |
| abstract_inverted_index.cases | 196 |
| abstract_inverted_index.first | 81 |
| abstract_inverted_index.sinus | 115 |
| abstract_inverted_index.stent | 175 |
| abstract_inverted_index.sugar | 97 |
| abstract_inverted_index.tests | 90 |
| abstract_inverted_index.three | 158 |
| abstract_inverted_index.(RCA). | 171 |
| abstract_inverted_index.(TAVB) | 122 |
| abstract_inverted_index.Artery | 170 |
| abstract_inverted_index.During | 103 |
| abstract_inverted_index.Malang | 59 |
| abstract_inverted_index.NSTEMI | 200 |
| abstract_inverted_index.Saiful | 57 |
| abstract_inverted_index.angina | 110 |
| abstract_inverted_index.enzyme | 127 |
| abstract_inverted_index.female | 48 |
| abstract_inverted_index.lesion | 164 |
| abstract_inverted_index.osteal | 180 |
| abstract_inverted_index.people | 32 |
| abstract_inverted_index.report | 44 |
| abstract_inverted_index.severe | 70 |
| abstract_inverted_index.target | 163 |
| abstract_inverted_index.timely | 186 |
| abstract_inverted_index.Segment | 137 |
| abstract_inverted_index.achieve | 202 |
| abstract_inverted_index.cardiac | 126 |
| abstract_inverted_index.changes | 113 |
| abstract_inverted_index.history | 75 |
| abstract_inverted_index.levels, | 98 |
| abstract_inverted_index.optimal | 203 |
| abstract_inverted_index.patient | 49, 147 |
| abstract_inverted_index.primary | 5 |
| abstract_inverted_index.therapy | 194 |
| abstract_inverted_index.(NSTEMI) | 141 |
| abstract_inverted_index.Coronary | 169 |
| abstract_inverted_index.Diabetic | 0 |
| abstract_inverted_index.Hospital | 60 |
| abstract_inverted_index.Patients | 72, 132 |
| abstract_inverted_index.Troponin | 130 |
| abstract_inverted_index.accuracy | 191 |
| abstract_inverted_index.atypical | 109 |
| abstract_inverted_index.compared | 27 |
| abstract_inverted_index.coronary | 20, 159 |
| abstract_inverted_index.diabetes | 10 |
| abstract_inverted_index.diarrhea | 66 |
| abstract_inverted_index.episodic | 118 |
| abstract_inverted_index.invasive | 151 |
| abstract_inverted_index.mellitus | 11 |
| abstract_inverted_index.moderate | 68 |
| abstract_inverted_index.patients | 107 |
| abstract_inverted_index.presence | 93 |
| abstract_inverted_index.promptly | 154 |
| abstract_inverted_index.stenosis | 156 |
| abstract_inverted_index.strategy | 152 |
| abstract_inverted_index.symptoms | 64 |
| abstract_inverted_index.syndrome | 21 |
| abstract_inverted_index.Efficient | 184 |
| abstract_inverted_index.Emergency | 54 |
| abstract_inverted_index.acidosis, | 100 |
| abstract_inverted_index.arteries, | 160 |
| abstract_inverted_index.criteria. | 145 |
| abstract_inverted_index.diagnosed | 82, 133 |
| abstract_inverted_index.hydration | 105 |
| abstract_inverted_index.immediate | 150 |
| abstract_inverted_index.implanted | 177 |
| abstract_inverted_index.incidence | 26 |
| abstract_inverted_index.increased | 125 |
| abstract_inverted_index.indicated | 91 |
| abstract_inverted_index.metabolic | 7, 99 |
| abstract_inverted_index.outcomes. | 204 |
| abstract_inverted_index.performed | 148 |
| abstract_inverted_index.presented | 51 |
| abstract_inverted_index.Department | 55 |
| abstract_inverted_index.Infarction | 140 |
| abstract_inverted_index.Myocardial | 139 |
| abstract_inverted_index.identified | 155 |
| abstract_inverted_index.laboratory | 89 |
| abstract_inverted_index.management | 187 |
| abstract_inverted_index.mortality. | 41 |
| abstract_inverted_index.prioritize | 190 |
| abstract_inverted_index.strategies | 188 |
| abstract_inverted_index.34-year-old | 47 |
| abstract_inverted_index.Individuals | 17 |
| abstract_inverted_index.management, | 106 |
| abstract_inverted_index.responsible | 37 |
| abstract_inverted_index.spontaneous | 123 |
| abstract_inverted_index.tachycardia | 116 |
| abstract_inverted_index.Non-elevated | 136 |
| abstract_inverted_index.complication | 8 |
| abstract_inverted_index.dehydration. | 71 |
| abstract_inverted_index.drug-eluting | 174 |
| abstract_inverted_index.individuals. | 30 |
| abstract_inverted_index.investigates | 45 |
| abstract_inverted_index.ketoacidosis | 1 |
| abstract_inverted_index.non-diabetic | 29 |
| abstract_inverted_index.simultaneous | 193 |
| abstract_inverted_index.specifically | 13 |
| abstract_inverted_index.termination, | 124 |
| abstract_inverted_index.twice-higher | 25 |
| abstract_inverted_index.Subsequently, | 172 |
| abstract_inverted_index.gastrointestinal | 63 |
| abstract_inverted_index.ketone-positive. | 102 |
| abstract_inverted_index.(high-sensitivity) | 129 |
| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 3 |
| citation_normalized_percentile |